K Number
K172448
Date Cleared
2017-12-21

(129 days)

Product Code
Regulation Number
870.1250
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Riptide™ Aspiration System is intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment.

Device Description

The Riptide™ Aspiration System is designed to restore blood flow in patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease. The Riptide™ Aspiration System is designed for use within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries. The Riptide™ Aspiration System is composed of the following components:

  • Arc™ Catheter .
  • Riptide™ Aspiration Tubing .
  • Riptide™ Aspiration Pump ●
  • Riptide™ Collection Canister with Intermediate Tubing .

The Arc™ Catheter is introduced into the vasculature through the Split-Y Introducer Sheath. A lubricous, tapered liner is used to create a structure that has both proximal stiffness and distal flexibility. The Arc™ Catheter has a radiopaque marker band encapsulated at the distal tip for visualization under fluoroscopy. The Arc™ Catheter is navigated to the intended treatment site and positioned proximal to the site of occlusion. The Arc™ Catheter is the only component of the Riptide™ Aspiration System that is used intravascularly.

The Riptide™ Aspiration Tubing serves as a conduit to supply vacuum from the Riptide™ Aspiration Pump to the distal tip of the Arc™ Catheter. The Riptide™ Aspiration Tubing provides a connection between the sterile and non-sterile environments. The proximal end of the Riptide™ Aspiration Tubing is connected to the Riptide™ Collection Canister (outside of the sterile environment) while the distal end of the Riptide™ Aspiration Tubing is connected to the Arc™ Catheter (inside the sterile environment). The Riptide™ Collection Canister is connected to the Riptide™ Aspiration Pump (also outside of the sterile environment) via the Intermediate Tubing.

The Riptide™ Aspiration Pump is designed to generate vacuum for the Riptide™ Aspiration System. The vacuum pressure of the Riptide™ Aspiration Pump is set by turning the vacuum control valve until the vacuum gauge reads a minimum of 20inHg but not exceeding 25inHg. The Riptide™ Aspiration Pump is reusable, non-sterile, and intended to be utilized outside of the sterile environment.

The Riptide™ Collection Canister is provided non-sterile and is pre-assembled with the Intermediate Tubing. The Riptide™ Collection Canister with Intermediate Tubing is single-use and the repository for aspirated material. The Riptide™ Collection Canister is placed into the receptacle of the Riptide™ Aspiration Pump while the Intermediate Tubing is connected to the vacuum inlet port.

AI/ML Overview

The provided text describes the acceptance criteria and the studies conducted to demonstrate the substantial equivalence of the Riptide™ Aspiration System to its predicate device, the Penumbra System® and Penumbra Pump MAX™.

Here's the breakdown of the information requested:


1. Table of Acceptance Criteria and Reported Device Performance

The document lists numerous tests conducted on various components of the Riptide™ Aspiration System, with an explicit statement that the device met the acceptance criteria for each. The specific acceptance criteria values are generally not quantified in the "Results" column, but rather stated qualitatively (e.g., "met the acceptance criteria").

Table 1: Acceptance Criteria and Reported Device Performance (Summary)

ComponentTest CategoryIndividual TestAcceptance Criteria Statement (from document)
Arc™ CatheterBiocompatibilityUSP PhysicochemicalMeets USP Physicochemical (Pass)
ISO MEM Elution Using L-929 Mouse Fibroblast CellsNon-cytotoxic
ISO Guinea Pig Maximization Sensitization TestNon-sensitizer
ISO Intracutaneous Irritation TestNon-irritant
ISO Acute Systemic Injection TestNon-cytotoxic
ISO Materials Mediated Rabbit PyrogenNon-pyrogenic
ASTM Hemolysis Assay – Direct Contact and Extract MethodNon-hemolytic
Complement activation C3a and SC5b-9 AssayThe compliment activation of the C3a and SC5b assays were similar for test and comparison articles.
Thromboresistance EvaluationThe test and control articles exhibited similar thromboresistant characteristics.
ISO Bacterial Mutagenicity Test - Ames AssayNon-mutagenic
ISO in vitro Mouse Lymphoma with Extended TreatmentNon-mutagenic (non-genotoxic and non-clastogenic)
ISO in vivo Mouse Micronucleus AssayNon-mutagenic
Partial Thromboplastin TimeNon-activator (of intrinsic coagulation pathway)
in vitro Hemocompatibility AssayNo adverse effect on leukocyte or platelet counts.
Arc™ CatheterBench - MicrobialEthylene Oxide (EO) ResidualMet the acceptance criteria for EO Residual.
Ethylene Chlorohydrin (ECH)Met the acceptance criteria for ECH.
Bacterial EndotoxinMet the acceptance criteria for Bacterial Endotoxin.
Bench - PackagingVisual InspectionMet the acceptance criteria for Visual Inspection.
Bubble LeakMet the acceptance criteria for Bubble Leak.
Seal StrengthMet the acceptance criteria for Seal Strength.
Bench - PerformanceLumen PatencyMet the acceptance criteria for Lumen Patency.
Dimensional InspectionMet the acceptance criteria for Dimensional Inspection.
Tip BucklingMet the acceptance criteria for Tip Buckling.
Injection Flow RateMet the acceptance criteria for Injection Flow Rate.
Suction Flow RateMet the acceptance criteria for Suction Flow Rate.
Vacuum ResistanceMet the acceptance criteria for Vacuum Resistance.
Air Aspiration LeakMet the acceptance criteria for Air Aspiration Leak.
Hub/Shaft Peak Tensile ForceMet the acceptance criteria for Hub/Shaft Peak Tensile Force.
Coating IntegrityCharacterization only.
Coating Lubricity/DurabilityMet the acceptance criteria for Coating Lubricity/Durability.
ParticulateMet the acceptance criteria for Particulate.
Kink ResistanceMet the acceptance criteria for Kink Resistance.
Liquid LeakMet the acceptance criteria for Liquid Leak.
Static/Dynamic BurstMet the acceptance criteria for Static/Dynamic Burst.
Corrosion ResistanceMet the acceptance criteria for Corrosion Resistance.
Torque to FailureCharacterization only.
Riptide™ Aspiration TubingBench - MicrobialEthylene Oxide (EO) ResidualMet the acceptance criteria for EO Residual.
Ethylene Chlorohydrin (ECH)Met the acceptance criteria for ECH.
Bioburden RecoveryMet the acceptance criteria for Bioburden Recovery.
BioburdenMet the acceptance criteria for Bioburden.
Bacterial EndotoxinMet the acceptance criteria for Bacterial Endotoxin.
Bench - PackagingAseptic PresentationMet the acceptance criteria for Aseptic Presentation.
Seal WidthMet the acceptance criteria for Seal Width.
Dye LeakMet the acceptance criteria for Dye Leak.
Visual InspectionMet the acceptance criteria for Visual Inspection.
Bubble LeakMet the acceptance criteria for Bubble Leak.
LegibilityMet the acceptance criteria for Legibility.
Foreign MaterialMet the acceptance criteria for Foreign Material.
Seal StrengthMet the acceptance criteria for Seal Strength.
Bench - PerformanceDimensional InspectionMet the acceptance criteria for Dimensional Inspection.
Identification of Heat Shrink BandsMet the acceptance criteria for Identification of the Heat Shrink Bands.
Identification of Flow SwitchMet the acceptance criteria for Identification of the Flow Switch.
Joint Tensile StrengthMet the acceptance criteria for Joint Tensile Strength.
Leak (Vacuum and Pressure Decay)Met the acceptance criteria for Leak.
Degree of CollapseMet the acceptance criteria for Degree of Collapse.
Compatibility (Arc™ Catheter & Collection Canister)Met the acceptance criteria for Compatibility to the Arc™ Catheter and Riptide™ Collection Canister.
Riptide™ Aspiration PumpBench - PerformanceDegrees of TiltMet the acceptance criteria for Degrees of Tilt.
DurabilityMet the acceptance criteria for Durability.
Maximum VacuumMet the acceptance criteria for Maximum Vacuum.
Flow CapacityMet the acceptance criteria for Flow Capacity.
Electrical SafetyMet the acceptance criteria for Electrical Safety.
Electromagnetic CompatibilityMet the acceptance criteria for Electromagnetic Compatibility.
Riptide™ Collection Canister with Intermediate TubingBench - PackagingPackaging IntegrityMet the acceptance criteria for Packaging Integrity.
Packaging LabelingMet the acceptance criteria for Packaging Labeling.
Bench - PerformanceVolume CapacityMet the acceptance criteria for Volume Capacity.
Volume MarkingMet the acceptance criteria for Volume Marking.
Canister StrengthMet the acceptance criteria for Canister Strength.
Overfill ProtectionMet the acceptance criteria for Overfill Protection.
Dimensional InspectionMet the acceptance criteria for Dimensional Inspection.
Degree of CollapseMet the acceptance criteria for Degree of Collapse.
Port IdentificationMet the acceptance criteria for Port Identification.
Compatibility (Riptide™ Aspiration Pump)Met the acceptance criteria for Compatibility.
Riptide™ Aspiration SystemBench - System PerformanceSimulated Clot RetrievalMet the acceptance criteria for Simulated Clot Retrieval.
Vacuum PressureMet the acceptance criteria for Vacuum Pressure.
Flow RateMet the acceptance criteria for Flow Rate.
Lumen CollapseThe Arc™ Catheter is resistant to Lumen Collapse.
UsabilityMet the acceptance criteria for Usability.

Study Information:

The provided document describes non-clinical bench testing and non-clinical animal testing. It explicitly states "Not Applicable" for clinical performance data. Therefore, questions related to human reader studies, ground truth establishment for a test set of clinical images, and training set details are not directly addressed in this document.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Test Set Sample Size:
    • Bench Testing: The document does not specify the exact sample sizes (number of units tested) for each individual bench test. The nature of these tests often involves a batch of devices or components.
    • Animal Testing: The document mentions "a porcine model" but does not specify the number of animals used for the animal testing.
  • Data Provenance:
    • Bench Testing: Conducted by the manufacturer, Micro Therapeutics, Inc. d/b/a ev3 Neurovascular, as part of their R&D and regulatory submission process. Location not specified, but the company is based in Irvine, California, USA.
    • Animal Testing: Conducted "in a porcine model." Location not specified.
    • Retrospective/Prospective: These are non-clinical studies (bench and animal), so the terms retrospective/prospective in the context of human data acquisition do not directly apply. They are inherently prospective in the sense that the tests were designed and executed to evaluate this specific device for its regulatory submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

  • Not Applicable. The studies described are non-clinical (bench and animal). There is no mention of human expert-established ground truth for a test set of clinical images or data. The "ground truth" for these tests comes from objective measurements against defined standards (e.g., ISO, ASTM, USP standards, or internal specifications) and observations in animal models.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not Applicable. As no human expert evaluation of clinical data for ground truth establishment is described, adjudication methods are not relevant to this submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • No. The document explicitly states "Performance Data - Clinical: Not Applicable." This means no human reader studies (MRMC or otherwise) were conducted or submitted as part of this 510(k). The device is not an AI-powered system that assists human readers.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

  • No. This device is a medical instrument (aspiration system for stroke), not an AI algorithm. Therefore, a standalone algorithm performance study is not applicable.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

  • Bench Testing: Ground truth is established by objective measurements against pre-defined engineering specifications, international standards (ISO, ASTM, USP), and validated test methods. For example, "The Arc™ Catheter met the acceptance criteria for EO Residual" means the measured residual levels were below the established safe limits per ISO 10993-7.
  • Animal Testing: Ground truth is established through direct observation and measurement in a controlled porcine model, in accordance with "21 CFR Part 58 for Good Laboratory Practice (GLP) for Non-Clinical Laboratory Studies". The goal was to evaluate "safety, efficacy, and usability" and compare it to the predicate device.

8. The sample size for the training set

  • Not Applicable. No AI/machine learning component is described for this device, so there is no concept of a "training set" in the context of algorithm development.

9. How the ground truth for the training set was established

  • Not Applicable. As there is no training set for an AI algorithm mentioned, this question is not relevant.

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Image /page/0/Picture/0 description: The image contains two logos. The logo on the left is the Department of Health & Human Services - USA logo. The logo on the right is the FDA U.S. Food & Drug Administration logo. The FDA logo is in blue.

December 21, 2017

Micro Therapeutics, Inc. d/b/a ev3 Neurovascular Ryan Kenney Senior Regulatory Affairs Specialist 9775 Toledo Way Irvine, California 92618

Re: K172448

Trade/Device Name: Riptide™ Aspiration System Regulation Number: 21 CFR 870.1250 Regulation Name: Percutaneous Catheter Regulatory Class: Class II Product Code: NRY Dated: November 20, 2017 Received: November 21, 2017

Dear Mr. Ryan Kenney:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration. listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Carlos L. Pena -S

Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K172448

Device Name Riptide™ Aspiration System

Indications for Use (Describe)

The Riptide™ Aspiration System is intended for use in the revascularization of patients with acute iscoke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral - M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment.

Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) Summary: K172448

510(k) Owner:Micro Therapeutics, Inc. d/b/a ev3 Neurovascular
9775 Toledo Way
Irvine, CA 92618
Establishment Registration No.: 2029214
Contact Person:Ryan Kenney
Senior Regulatory Affairs Specialist
Telephone: (949) 297-5489
Email: ryan.j.kenney@medtronic.com
Date Summary Prepared:December 18, 2017
Trade Name of Device:Riptide™ Aspiration System
Common Name of Device:Catheter, Thrombus Retriever
Regulation Description:Percutaneous Catheter
Review Panel:Neurology
Product Code:NRY
Regulation Number:21 CFR 870.1250
Device Classification:Class II
Predicate Device(s):Penumbra System® and Penumbra Pump MAX™
510(k)#: K160449
Reference Device(s):Arc™ Intracranial Support Catheter
510(k)#: K150107
Penumbra System®/Penumbra System MAX™
510(k)#: K133317
Penumbra Pump MAX™
510(k)#: K122756
Penumbra Reperfusion Catheter 054
510(k)#: K090752

Device Description:

The Riptide™ Aspiration System is designed to restore blood flow in patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease. The Riptide™ Aspiration System is designed for use within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries. The Riptide™ Aspiration System is composed of the following components:

  • Arc™ Catheter .
  • Riptide™ Aspiration Tubing .
  • Riptide™ Aspiration Pump ●
  • Riptide™ Collection Canister with Intermediate Tubing .

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The Arc™ Catheter is introduced into the vasculature through the Split-Y Introducer Sheath. A lubricous, tapered liner is used to create a structure that has both proximal stiffness and distal flexibility. The Arc™ Catheter has a radiopaque marker band encapsulated at the distal tip for visualization under fluoroscopy. The Arc™ Catheter is navigated to the intended treatment site and positioned proximal to the site of occlusion. The Arc™ Catheter is the only component of the Riptide™ Aspiration System that is used intravascularly.

The Riptide™ Aspiration Tubing serves as a conduit to supply vacuum from the Riptide™ Aspiration Pump to the distal tip of the Arc™ Catheter. The Riptide™ Aspiration Tubing provides a connection between the sterile and non-sterile environments. The proximal end of the Riptide™ Aspiration Tubing is connected to the Riptide™ Collection Canister (outside of the sterile environment) while the distal end of the Riptide™ Aspiration Tubing is connected to the Arc™ Catheter (inside the sterile environment). The Riptide™ Collection Canister is connected to the Riptide™ Aspiration Pump (also outside of the sterile environment) via the Intermediate Tubing.

The Riptide™ Aspiration Pump is designed to generate vacuum for the Riptide™ Aspiration System. The vacuum pressure of the Riptide™ Aspiration Pump is set by turning the vacuum control valve until the vacuum gauge reads a minimum of 20inHg but not exceeding 25inHg. The Riptide™ Aspiration Pump is reusable, non-sterile, and intended to be utilized outside of the sterile environment.

The Riptide™ Collection Canister is provided non-sterile and is pre-assembled with the Intermediate Tubing. The Riptide™ Collection Canister with Intermediate Tubing is single-use and the repository for aspirated material. The Riptide™ Collection Canister is placed into the receptacle of the Riptide™ Aspiration Pump while the Intermediate Tubing is connected to the vacuum inlet port.

Indications for Use:

The Riptide™ Aspiration System is intended for use in the revascularization of patients with acute ischemic stroke secondary to intracranial large vessel occlusive disease (within the internal carotid, middle cerebral – M1 and M2 segments, basilar, and vertebral arteries) within 8 hours of symptom onset. Patients who are ineligible for intravenous tissue plasminogen activator (IV t-PA) or who fail IV t-PA therapy are candidates for treatment.

Predicate Penumbra System® andPenumbra Pump MAX™(K160449)Subject Riptide™ Aspiration System
Indication for Use(IFU) StatementReperfusion Catheters andSeparators:As part of the Penumbra System®,the Reperfusion Catheters andSeparators are indicated for use in therevascularization of patients withacute ischemic stroke secondary tointracranial large vessel occlusivedisease (within the internal carotid,middle cerebral – M1 and M2The Riptide™ Aspiration System isintended for use in therevascularization of patients with acuteischemic stroke secondary tointracranial large vessel occlusivedisease (within the internal carotid,middle cerebral – M1 and M2segments, basilar, and vertebralarteries) within 8 hours of symptomonset. Patients who are ineligible for
Predicate Penumbra System® andPenumbra Pump MAX™(K160449)Subject Riptide™ Aspiration System
segments, basilar, and vertebralarteries) within 8 hours of symptomonset.intravenous tissue plasminogenactivator (IV t-PA) or who fail IV t-PAtherapy are candidates for treatment.
Penumbra Aspiration Tubing:As part of the Penumbra System®,the Penumbra Sterile AspirationTubing is indicated to connect thePenumbra Reperfusion Catheters tothe Penumbra Pump MAX™.Penumbra Pump MAX™:The Penumbra Pump MAX™ isindicated as a vacuum source forPenumbra Aspiration Systems.
5MAX™ ACE Reperfusion CatheterArc™ Catheter
MaterialsBiocompatible, commonly utilizedfor interventional devices.Same
CoatingHydrophilicSame
MarkerbandRadiopaqueSame
GuidewireYesSame
Compatible
Dimensions
Usable Length132cm132-135cm
Proximal InnerDiameter0.068"0.069"
Proximal OuterDiameter0.083"0.0825"
Distal InnerDiameter0.060"0.061"
Distal OuterDiameter0.074"0.071"
Sterilization
MethodEthylene Oxide (EO)Same
Packaging
PouchPolyethyleneNylon-Tyvek®
Packaging HoopPolyethyleneSame
Packaging CardPolyethyleneSame
CartonSolid Bleached Sulfate (SBS)PaperboardSame
Shelf Life36 MonthsSame
Penumbra MAX™ Aspiration TubingRiptide™ Aspiration Tubing
MaterialsBiocompatible, commonly utilizedSame
Predicate Penumbra System® andPenumbra Pump MAX™(K160449)Subject Riptide™ Aspiration System
for interventional devices.
Dimensions
Usable Length112.0"Same
Distal Length7.0"Same
Inner Diameter0.088"Same
Outer Diameter0.188"Same
Sterilization
MethodEthylene Oxide (EO)Same
Packaging
Shelf Life36 Months3 Months
Penumbra Pump MAX™Riptide™ Aspiration Pump
Performance Characteristics
Vacuum Range0-29 inHg (0-98.2 kPa)Same
Flow Rate0-0.8 SCFM (0-23 LPM)Same
Dimensions
Length15.5"16.1"
Depth11.2"13.2"
Height13.2"12.3"
Weight22.3lbs23.6lbs
Electrical Requirements
Voltage100-115 Vac110-115 Vac
Frequency50 Hz/60 Hz60 Hz
Duty CycleNon-continuous97.8% (45 minutes on, 1 minute off)Non-continuous97% (58.2 minutes on, 1.8 minutes off)
IEC 60601-1ComplianceYesSame
IEC 60601-1-2ComplianceYesSame
Penumbra MAX™ CanisterRiptide™ Collection Canister withIntermediate Tubing
Dimensions
Volume1000ml1200ml

Device Comparison:

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Biocompatibility:

Biocompatibility was performed for the Arc™ Catheter and the Riptide™ Aspiration Tubing. The Arc™ Catheter is categorized as a limited exposure (< 24 hours), external communicating device contacting circulating blood. The Riptide™ Aspiration Tubing is categorized, for worst-case, as a limited exposure (< 24 hours), external communicating device with indirect blood path contact.

ArcTM Catheter
Test DescriptionResultsConclusions
USP PhysiochemicalMeets USP PhysicochemicalPass.
Arc™ Catheter
Test DescriptionResultsConclusions
ISO MEM Elution Using L-929Mouse Fibroblast Cellsextraction parametersThe test article scored '0' at 24, 48 and 72 ± 4 hours and isconsidered non-cytotoxic underthe conditions of this test.Non-cytotoxic.
ISO Guinea Pig MaximizationSensitization TestUnder the conditions of thisprotocol, the test article did notelicit a sensitization response.Non-sensitizer.
ISO Intracutaneous IrritationTestThe differences in the mean testand control scores of the extractdermal observations were < 1.0,indicating that the requirementsof the ISO IntracutaneousReactivity Test have been metby the test article.Non-irritant.
ISO Acute Systemic InjectionTestNone of the test article extracttreated animals were observedwith clinical signs consistentwith toxicity at any of theobservation periods.Non-cytotoxic.
ISO Materials Mediated RabbitPyrogenThis response did not exceedthe USP limit and meets therequirements for this test.Therefore, these results indicatethat the test article wasdetermined to be non-pyrogenic.Non-pyrogenic.
ASTM Hemolysis Assay –Direct Contact and ExtractMethodThere were no significantdifferences between the testarticle extract and negativecontrol article results. The testarticle is considered non-hemolytic.Non-hemolytic.
Complement activation C3aand SC5b-9 AssayThe levels of C3a and SC5b-9of the test article arecomparable to the comparisonarticle and less than that of thepositive control.The compliment activation ofthe C3a and SC5b assays weresimilar for test and comparisonarticles.
Thromboresistance EvaluationThe thromboresistanceproperties of the Arc™Catheter are acceptable inclinical use.The test and control articlesexhibited similarthromboresistantcharacteristics.
ISO Bacterial MutagenicityTest - Ames AssayBased on the criteria andconditions of the studyNon-mutagenic.
Arc™ Catheter
Test DescriptionResultsConclusions
ISO in vitro Mouse Lymphomawith Extended Treatmentprotocol, the test article isconsidered non-mutagenic.The test article is considered tobe non-mutagenic (non-genotoxic and non-clastogenic)in this test system.Non-mutagenic.
ISO in vivo MouseMicronucleus AssayBased on the criteria of theassay, the test article isconsidered non-mutagenicin this test system.Non-mutagenic.
Partial Thromboplastin TimeClotting times for Arc™Catheter were similar to thenegative control and thereference material (HDPE),indicating that the devicematerials are not an activator ofthe intrinsic coagulationpathway.Non-activator.
in vitro HemocompatibilityAssayThe Arc™ Catheter did notresult in a decrease in anyblood component as comparedto the reference material. Theseresults indicate that the cause ofthrombi is not related to thematerials exposed to humanblood during useNo adverse effect on leukocyteor platelet counts.

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Riptide™ Aspiration Tubing
Test DescriptionResultsConclusions
ISO MEM Elution Using L-929Mouse Fibroblast CellsThe test article scored '0' at 24,48 and 72 ± 4 hours and isconsidered non-cytotoxic underthe conditions of this test.Non-cytotoxic.
ISO Guinea Pig MaximizationSensitization TestUnder the conditions of thisprotocol, the test article did notelicit a sensitization response.Non-sensitizer.
ISO Intracutaneous IrritationTestThe differences in the mean testand control scores of the extractdermal observations were < 1.0,indicating that the requirementsof the ISO IntracutaneousReactivity Test have been metby the test article.Non-irritant.
ISO Acute Systemic InjectionNone of the test article extractNon-cytotoxic.

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Riptide™ Aspiration Tubing
Test DescriptionResultsConclusions
Testtreated animals were observedwith clinical signs consistentwith toxicity at any of theobservation periods.
ASTM Hemolysis Assay -Extract MethodBased on the criteria set forth inthe protocol, the assay wasvalid. Therefore, it was capableof correctly assessing thehemolytic potential for testarticles. In this case, the testarticle is considered non-hemolytic under the testconditions employed.Non-hemolytic.
ISO Materials Mediated RabbitPyrogenThis response did not exceedthe USP limit and meets therequirements for this test.Therefore, these results indicatethat the test article wasdetermined to be non-pyrogenic.Non-pyrogenic.

The Arc™ Catheter and the Riptide™ Aspiration Tubing have been evaluated to meet requirements specified in ISO 10993-1.

Performance Data - Bench:

Non-clinical bench testing was performed for each component of the Riptide™ Aspiration System. Non-clinical bench testing was performed to evaluate the performance of the design modifications incorporated into the Riptide™ Aspiration System.

The following non-clinical bench testing was performed for the Arc™ Catheter:

Arc™ Catheter
TestTest Method SummaryResults
Microbial
Ethylene Oxide (EO) ResidualEO Residual for the Arc™ Catheter is performed per ISO 10993-7.The Arc™ Catheter met the acceptance criteria for EO Residual.
Ethylene Chlorohydrin (ECH)ECH for the Arc™ Catheter is performed per ISO 10993-7.The Arc™ Catheter met the acceptance criteria for ECH.
BioburdenBacterial Endotoxin for the Arc™ Catheter is performed per ANSI/AAMI ST72 and USP 161.The Arc™ Catheter met the acceptance criteria for Bacterial Endotoxin.
Packaging
Arc™ Catheter
TestTest Method SummaryResults
Visual InspectionVisual Inspection for the Arc™ Catheter is performed per ASTM F1886.The Arc™ Catheter met the acceptance criteria for Visual Inspection.
Bubble LeakBubble Leak for the Arc™ Catheter is performed per ASTM F2096.The Arc™ Catheter met the acceptance criteria for Bubble Leak.
Seal StrengthSeal Strength for the Arc™ Catheter is performed per ASTM F88.The Arc™ Catheter met the acceptance criteria for Seal Strength.
Performance
Lumen PatencyThe proximal hub to the distal tip of the Arc™ Catheter must pass through a stainless-steel mandrel of required size.The Arc™ Catheter met the acceptance criteria for Lumen Patency.
Dimensional InspectionThe usable length, proximal and distal inner and outer diameter of the Arc™ Catheter is recorded.The Arc™ Catheter met the acceptance criteria for Dimensional Inspection.
Tip BucklingThe repeated distal tip buckling force under compressive load is evaluated for stiffness.The Arc™ Catheter met the acceptance criteria for Tip Buckling.
Injection Flow RateInjection Flow Rate for the Arc™ Catheter is performed per ISO 10555-1, Annex E with injection through the proximal hub.The Arc™ Catheter met the acceptance criteria for Injection Flow Rate.
Suction Flow RateSuction Flow Rate for the Arc™ Catheter is performed per ISO 10555-1, Annex E with injection through the distal tip.The Arc™ Catheter met the acceptance criteria for Suction Flow Rate.
Vacuum ResistanceVacuum Resistance for the Arc™ Catheter is performed under static conditions using a 60cc syringe.The Arc™ Catheter met the acceptance criteria for Vacuum Resistance.
Air Aspiration LeakAir Aspiration Leak for the Arc™ Catheter is performed per ISO 10555-1, Annex D.The Arc™ Catheter met the acceptance criteria for Air Aspiration Leak.
Hub/Shaft Peak Tensile ForceHub/Shaft Peak Tensile Force for the Arc™ Catheter is performed per ISO 10555-1, Annex B.The Arc™ Catheter met the acceptance criteria for Hub/Shaft Peak Tensile Force.
Coating IntegrityCoating Integrity for the Arc™ Catheter was assessed using a staining method pre and post.Characterization only.
ArcTM Catheter
TestTest Method SummaryResults
Coating Lubricity/Durabilitysimulation to estimated coatingcoverage.The ArcTM Catheter met theacceptance criteria for CoatingLubricity/Durability.
ParticulateParticulate for the ArcTMCatheter was performed in atortuous model per USP <788>.ArcTM Catheter met theacceptance criteria forParticulate.
Kink ResistanceKink Resistance for the ArcTMCatheter is performed with thedevice wrapped around a rod orknown radius at which pointthe ArcTM Catheter is inspectedfor kinking.The ArcTM Catheter met theacceptance criteria for KinkResistance.
Liquid LeakLiquid Leak for the ArcTMCatheter is performed per ISO10555-1, Annex C.The ArcTM Catheter met theacceptance criteria for LiquidLeak.
Static/Dynamic BurstStatic/Dynamic Burst for theArcTM Catheter is performedper ISO 10555-1, Annex F.The ArcTM Catheter met theacceptance criteria forStatic/Dynamic Burst.
Corrosion ResistanceCorrosion Resistance for theArcTM Catheter is performedper ISO 10555-1, Annex A.The ArcTM Catheter met theacceptance criteria forCorrosion Resistance.
Torque to FailureThe ArcTM Catheter isnavigated through a tortuousmodel where the distal tip issecured, and the proximal endof the catheter is rotated 360°.The total number of 360°rotations prior to failure isrecordedCharacterization only.

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The following non-clinical bench testing was performed for the Riptide™ Aspiration Tubing:

Riptide™ Aspiration Tubing
TestTest Method SummaryResults
Microbial
Ethylene Oxide (EO) ResidualEO Residual for the Riptide™ Aspiration Tubing is performed per ISO 10993-7.The Riptide™ Aspiration Tubing met the acceptance criteria for EO Residual.
Ethylene Chlorohydrin (ECH)ECH for the Riptide™ Aspiration Tubing is performed per ISO 10993-7.The Riptide™ Aspiration Tubing met the acceptance criteria for ECH.
Riptide™ Aspiration Tubing
TestTest Method SummaryResults
Bioburden RecoveryBioburden Recovery for theRiptide™ Aspiration Tubing isperformed perANSI/AAMI/ISO 11737-1.The Riptide™ AspirationTubing met the acceptancecriteria for BioburdenRecovery.
BioburdenBioburden for the Riptide™Aspiration Tubing is performedper ANSI/AAMI/ISO 11737-1.The Riptide™ AspirationTubing met the acceptancecriteria for Bioburden.
Bacterial EndotoxinBacterial Endotoxin for theRiptide™ Aspiration Tubing isperformed per ANSI/AAMIST72.The Riptide™ AspirationTubing met the acceptancecriteria for Bacterial Endotoxin.
Packaging
Aseptic PresentationAseptic Presentation for theRiptide™ Aspiration Tubing isperformed for delamination.The Riptide™ AspirationTubing met the acceptancecriteria for AsepticPresentation.
Seal WidthSeal Width for the Riptide™Aspiration Tubing is performedper ASTM F2203.The Riptide™ AspirationTubing met the acceptancecriteria for Seal Width.
Dye LeakDye Leak for the Riptide™Aspiration Tubing is performedper ASTM F1929.The Riptide™ AspirationTubing met the acceptancecriteria for Dye Leak.
Visual InspectionVisual Inspection for theRiptide™ Aspiration Tubing isperformed per ASTM F1886.The Riptide™ AspirationTubing met the acceptancecriteria for Visual Inspection.
Bubble LeakBubble Leak for the Riptide™Aspiration Tubing is performedper ASTM F2096.The Riptide™ AspirationTubing met the acceptancecriteria for Bubble Leak.
LegibilityLegibility for the Riptide™Aspiration Tubing is performedfor smearing or degradation.The Riptide™ AspirationTubing met the acceptancecriteria for Legibility.
Foreign MaterialForeign Material on theRiptide™ Aspiration Tubing isperformed via visualinspection.The Riptide™ AspirationTubing met the acceptancecriteria for Foreign Material.
Seal StrengthSeal Strength for the Riptide™Aspiration Tubing is performedper ASTM F88.The Riptide™ AspirationTubing met the acceptancecriteria for Seal Strength.
Performance
Dimensional InspectionThe overall and distal length,proximal and distal inner andouter diameter of the Riptide™Aspiration Tubing is recorded.The Riptide™ AspirationTubing met the acceptancecriteria for DimensionalInspection
Riptide™ Aspiration Tubing
TestTest Method SummaryResults
Identification of Heat ShrinkBandsThe heat shrink bands of theRiptide™ Aspiration Tubingare visually inspected.The Riptide™ AspirationTubing met the acceptancecriteria for Identification of theHeat Shrink Bands.
Identification of Flow SwitchThe flow switch of theRiptide™ Aspiration Tubing isvisually inspected.The Riptide™ AspirationTubing met the acceptancecriteria for Identification of theFlow Switch.
Joint Tensile StrengthThe Riptide™ AspirationTubing is affixed to upper andlower grips of the tensile testfixture and stretched. Themaximum value before failureis recorded.The Riptide™ AspirationTubing met the acceptancecriteria for Joint TensileStrength.
LeakThe Riptide™ AspirationTubing is pressurized tospecified vacuum pressure andany decay in pressure isrecordedThe Riptide™ AspirationTubing met the acceptancecriteria for Leak (Vacuum andPressure Decay).
Degree of CollapseDegree of Collapse for theRiptide™ Aspiration Tubing isperformed per ISO 10079-3.The Riptide™ AspirationTubing met the acceptancecriteria for Degree of Collapse.
CompatibilityThe distal end of the Riptide™Aspiration Tubing is connectedto the proximal hub of theArc™ Catheter. The proximalend of the Riptide™ AspirationTubing is connected to thehorizontal port of the Riptide™Collection CanisterThe Riptide™ AspirationTubing met the acceptancecriteria for Compatibility to theArc™ Catheter and Riptide™Collection Canister.

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The following non-clinical bench testing was performed for the Riptide™ Aspiration Pump:

Riptide™ Aspiration Pump
TestTest Method SummaryResults
Degrees of TiltThe test axes of the Riptide™Aspiration Pump are pivoted45° and does not tip over.The Riptide™ Aspiration Pumpmet the acceptance criteria forDegrees of Tilt.
DurabilityThe Riptide™ Aspiration Pumpis functional through 500 hoursof expected service life.The Riptide™ Aspiration Pumpmet the acceptance criteria forDurability.
Maximum VacuumThe vacuum control valve ofthe Riptide™ Aspiration Pumpis set to maximum vacuum andThe Riptide™ Aspiration Pumpmet the acceptance criteria forMaximum Vacuum.

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Riptide™ Aspiration Pump
TestTest Method SummaryResults
recorded.
Flow CapacityThe Riptide™ Aspiration Pumpwas ran at specified pressureprior to recording the air flow.The Riptide™ Aspiration Pumpmet the acceptance criteria forFlow Capacity.
Electrical SafetyElectrical safety for theRiptide™ Aspiration Pump isperformed per IEC 60601-1.The Riptide™ Aspiration Pumpmet the acceptance criteria forElectrical Safety
Electromagnetic CompatibilityElectromagnetic compatibilityfor the Riptide™ AspirationPump is performed per IEC60601-1-2.The Riptide™ Aspiration Pumpmet the acceptance criteria forElectromagnetic Compatibility.

The following non-clinical bench testing was performed for the Riptide™ Canister with Intermediate Tubing:

Riptide™ Collection Canister with Intermediate Tubing
TestTest Method SummaryResults
Packaging
Packaging IntegrityPackaging Integrity for theRiptide™ Collection Canisterwith Intermediate Tubing isperformed per ISTA 2A andATSM D4169.The Riptide™ CollectionCanister met the acceptancecriteria for Packaging Integrity.
Packaging LabelingPackaging Labeling for theRiptide™ Collection Canisterwith Intermediate Tubing isperformed to ensure thelabeling remains affixed andlegible over the labeled shelflife of three (3) months.The Riptide™ CollectionCanister met the acceptancecriteria for Packaging Labeling.
Performance
Volume CapacityThe Riptide™ CollectionCanister is visually inspected toensure graduations up to1200mL.The Riptide™ CollectionCanister met the acceptancecriteria for Volume Capacity.
Volume MarkingThe Riptide™ CollectionCanister is visually inspected toensure graduations in 100mL.The Riptide™ CollectionCanister met the acceptancecriteria for Volume Marking.
Canister StrengthThe Riptide™ CollectionCanister is tested for canisterstrength per ISO 10079-3.The Riptide™ CollectionCanister met the acceptancecriteria for Canister Strength.
Overfill ProtectionThe Riptide™ CollectionCanister is tested for overfillThe Riptide™ CollectionCanister met the acceptance

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Riptide™ Collection Canister with Intermediate Tubing
TestTest Method SummaryResults
Dimensional Inspectionprotection per ISO 10079-3.The overall length of theIntermediate Tubing isrecorded.criteria for Overfill Protection.The Intermediate Tubing metthe acceptance criteria forDimensional Inspection.
Degree of CollapseDegree of Collapse for theIntermediate Tubing isperformed per ISO 10079-3.The Intermediate Tubing metthe acceptance criteria forDegree of Collapse.
Port IdentificationThe Riptide™ CollectionCanister is visually inspected toensure the connection ports arecorrectly labeled.The Riptide™ CollectionCanister met the acceptancecriteria for Port Identification.
CompatibilityThe Intermediate Tubing isconnected to the vacuum inletport of the Riptide™ AspirationPump.The Intermediate Tubing metthe acceptance criteria forCompatibility.

The following non-clinical bench testing was performed for the Riptide™ Aspiration System:

Riptide™ Aspiration System
TestTest Method SummaryResults
Simulated Clot RetrievalThe Arc™ Catheter is navigated through a tortuous model to the intended treatment location for simulated clot retrieval.The Riptide™ Aspiration System met the acceptance criteria for Simulated Clot Retrieval.
Vacuum PressureThe vacuum pressure experienced at the distal tip of the Arc™ Catheter is recorded.The Riptide™ Aspiration System met the acceptance criteria for Vacuum Pressure.
Flow RateThe flow rate through the Arc™ Catheter is recorded under full-flow conditions.The Riptide™ Aspiration System met the acceptance criteria for Flow Rate.
Lumen CollapseThe Arc™ Catheter is navigated through a tortuous model and subjected to maximum vacuum pressure generated by the Riptide™ Aspiration Pump at which point the catheter is inspected for any collapse or damage.The Arc™ Catheter is resistant to Lumen Collapse.
UsabilityThe Penumbra System® and Penumbra Pump MAX™ and the Riptide™ Aspiration System were evaluated for navigability, flexibility, theThe Riptide™ Aspiration System met the acceptance criteria for Usability.

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Riptide™ Aspiration System
TestTest Method SummaryResults
ability to engage and applyaspiration, and for the ability tosafely retrieve clot by endusers.

The non-clinical bench testing, as described above, indicates that the Riptide™ Aspiration System is substantially equivalent to the Penumbra System® and Penumbra Pump MAXTM.

Performance Data - Animal:

Non-clinical animal testing was performed to evaluate the safety, efficacy, and usability of the Riptide™ Aspiration System in comparison to the Penumbra System® and Penumbra Pump MAX™ at acute and chronic time points in a porcine model, both in the presence and absence of simulated clot. Non-clinical animal testing was performed in accordance with 21 CFR Part 58 for Good Laboratory Practice (GLP) for Non-Clinical Laboratory Studies.

The non-clinical animal testing, as described above, indicates that the Riptide™ Aspiration System is substantially equivalent to the Penumbra System® and Penumbra Pump MAXTM.

Performance Data - Clinical:

Not Applicable. A determination of substantial equivalence is based upon non-clinical bench and animal testing.

Conclusion:

The design modifications incorporated into the Riptide™ Aspiration System do not alter the fundamental scientific technology or intended use.

Non-clinical bench and animal testing supports a determination that the subject RiptideTM Aspiration System is substantially equivalent to the predicate Penumbra System® and Penumbra Pump MAX™.

§ 870.1250 Percutaneous catheter.

(a)
Identification. A percutaneous catheter is a device that is introduced into a vein or artery through the skin using a dilator and a sheath (introducer) or guide wire.(b)
Classification. Class II (performance standards).